A patient seen in the emergency department for priapism is sent to the medical unit
The admitting nurse should anticipate performing which actions as part of the nursing care plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Assess the penis for color changes.
2. Assess the penis for firmness and rigidity.
3. Administer an analgesic as prescribed for pain.
4. Apply ice packs as prescribed.
5. Push oral fluids.
1,2,3,4
Rationale 1: Priapism is an involuntary, sustained, painful erection that is not associated with sexual arousal. Impaired blood flow results in ischemia. The nurse will assess the penis for color changes.
Rationale 2: Baseline assessment is necessary for comparison to treatment outcomes.
Rationale 3: Analgesics are given for pain control.
Rationale 4: Ice packs are a primary treatment modality.
Rationale 5: Intake and output should be monitored, as acute urinary retention can occur. Excessive oral intake would be inappropriate.
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